Clin Exp Otorhinolaryngol.  2019 May;12(2):107-144. 10.21053/ceo.2018.01816.

Guidelines for the Surgical Management of Oral Cancer: Korean Society of Thyroid-Head and Neck Surgery

Affiliations
  • 1Department of Otorhinolaryngology Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 2Department of Otorhinolaryngology Head and Neck Surgery, Inje University College of Medicine, Busan, Korea.
  • 3Department of Otorhinolaryngology Head and Neck Surgery, Chungnam National University School of Medicine, Daejeon, Korea.
  • 4Department of Otorhinolaryngology Head and Neck Surgery, Eulji University School of Medicine, Daejeon, Korea.
  • 5Department of Otorhinolaryngology Head and Neck Surgery, Seoul National University College of Medicine, Seoul, Korea.
  • 6Department of Otorhinolaryngology Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea.
  • 7Department of Otorhinolaryngology Head and Neck Surgery, CHA University School of Medicine, Seongnam, Korea.
  • 8Department of Otorhinolaryngology Head and Neck Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea.
  • 9Department of Otorhinolaryngology Head and Neck Surgery, Hallym University College of Medicine, Seoul, Korea.
  • 10Department of Otorhinolaryngology Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 11Department of Otorhinolaryngology Head and Neck Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • 12Department of Otorhinolaryngology Head and Neck Surgery, Gyeongsang National University School of Medicine, Jinju, Korea.
  • 13Department of Otorhinolaryngology Head and Neck Surgery, Pusan National University School of Medicine, Busan, Korea.
  • 14Department of Otorhinolaryngology Head and Neck Surgery, National Cancer Center, Goyang, Korea.
  • 15Department of Otorhinolaryngology Head and Neck Surgery, Chonnam National University Medical School, Hwasun, Korea.
  • 16Department of Otorhinolaryngology Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
  • 17Department of Otorhinolaryngology Head and Neck Surgery, Korea Cancer Center Hospital, Seoul, Korea. ghlee@kcch.re.kr
  • 18Department of Otorhinolaryngology Head and Neck Surgery, Ajou University School of Medicine, Suwon, Korea.
  • 19Department of Otorhinolaryngology Head and Neck Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 20Department of Otorhinolaryngology Head and Neck Surgery, Yeungnam University College of Medicine, Daegu, Korea.
  • 21Department of Otorhinolaryngology Head and Neck Surgery, Inha University School of Medicine, Incheon, Korea.
  • 22Department of Otorhinolaryngology Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea. pschung@dankook.ac.kr

Abstract

Korean Society of Thyroid-Head and Neck Surgery appointed a Task Force to provide guidance on the implementation of a surgical treatment of oral cancer. MEDLINE databases were searched for articles on subjects related to "surgical management of oral cancer" published in English. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. The quality of evidence was rated with use RoBANS (Risk of Bias Assessment Tool for Nonrandomized Studies) and AMSTAR (A Measurement Tool to Assess the Methodological Quality of Systematic Reviews). Evidence-based recommendations for practice were ranked according to the American College of Physicians grading system. Additional directives are provided as expert opinions and Delphi questionnaire when insufficient evidence existed. The Committee developed 68 evidence-based recommendations in 34 categories intended to assist clinicians and patients and counselors, and health policy-makers. Proper surgical treatment selection for oral cancer, which is directed by patient- and subsite-specific factors, remains the greatest predictor of successful treatment outcomes. These guidelines are intended for use in conjunction with the individual patient's treatment goals.

Keyword

Mouth Neoplasms; Squamous Cell Carcinoma; Surgery; Guideline; Republic of Korea
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